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Individual

KRISTA D CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD601898604
WA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
M3951
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD60189604
WA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
M3951
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0276935
L & I
WA
05
1952320731
WA
01
P01051215
RAILROAD MEDICARE
WA
Enumeration date
07/19/2006
Last updated
03/31/2021
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